drugs for schizophrenia and degenerative diseases of the CNS Flashcards

(47 cards)

1
Q

what is both an excitatory and inhibitory neurotransmitter

A

dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the precursor of NE

A

dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

mesolimbic tract

A

VTA back of brain to limbic system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

back of brain to limbic system

A

this is the mesolimbic tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

mesocortical tract

A

back of the brain to the prefrontal cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

back of the brain to the prefrontal cortex

A

mesocrotical tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what tract causes negative symptoms like schizophrenia

A

the mesocortical tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

the mesocortical tract is linked to what neurological disorder

A

schizophrenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

d1 like dopamine receptors are associated with what

A

protien associated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

d1, d5-gs are what

A

protien associated dopamine receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

d2 receptors

A

d2, d3, d4, gi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are d1 and d2 like dopamine receptors involved in

A

involved in motor control, reward and motivation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is increased dopamergic activity associated with?

A

psychosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

psychosis is associated with what

A

increased dopaminergic activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is a decrease in dopaminergic activity associated with

A

parkinsons, neurodegenerative diseases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are neurodegenerative diseases like parkinsons associted with?

A

decrease in dopaminergic activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

positive symptoms of schizophrenia (4)

A

delusions
disorganize behaviour
agitiation
disorganized speech and thinking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

negative symptoms of schizophrenia

A

anhedonia, lack of motivation, blunted affect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what drugs can induce psychotic symptoms

A

dopamine agonists because an increase in dopaminergic activity is associated with psychosis

20
Q

dopamine antagonists have what kind of activity

A

anti-psychotic activity

21
Q

neuroleptic drugs are what king of drugs, what kind of dopamine antagonists

A

antipsychotic drugs, all dopamine d2 antagonists

22
Q

typical and atypical neuroleptics

A

work to bind to the dopamine receptor, causing and reducing positive symtpoms, antienemic as well

23
Q

work to bind to the dopamine receptor, causing and reducing positive symptoms, antienemic as well

A

typical and atypical

24
Q

atypical neuroleptics bidn to what and reduce what symptoms of schizophrenia

A

bind to the 5ht receptor, reducing negative symptoms

25
what bind to the 5ht receptor reducing negative symptoms
atypical neuroleptics
26
what is considered the first line therapy for schizophrenia
atypical antipsychotic drugs
27
what causes a blockade of d2-like receptors reducing hallucinations and delusions (positive symptoms)
atypical antipsychotics
28
what causes a blockade of serotoninergic 5ht2a and a2 adrenergic receptors and stimulation of 5ht1a receptors relieving negative symptoms
atypical antipsychotics
29
what are some adverse effects of atypical antipsychotics
fewer eps symptoms
30
adverse effects of typical antipsychotics
extrapyramidal effects - acute dystonica, pseudo-parkinsonism, akathisia, tardive dyskinesia
31
extrapyramidal effects - acute dystonica, pseudo-parkinsonism, akathisia, tardive dyskinesia are adverse effects of what
typical antipsychotic drugs
32
what should clients avoid when taking typical or atypical antipsychotics
CNS depressants such as alcohol, antihistamines, sedative hypnotics, or opiod analgesics
33
CNS depressants such as alcohol, antihistamines, sedative hypnotics, or opiod analgesics - should all be avoided when
when someone is prescribed atypical or typical antipsychotics
34
parkinsons disease
neurodegenerative disorder affecting individuals >50
35
what is characterized by the loss of dopaminergic neurons in the nigrostriatial pathway
parkinsons
36
what can improve symptoms of parkinsons
dopamine agonists, and acetylcholine antagonists
37
dopamine agonists and acetylcholine antagonists can improve symptoms of what
parkinsons
38
dopaminergic drugs
dopamine agonists
39
how do muscarinic cholinergic antagonists help parkinsons symptoms
they bind to acetylcholine - which regulates movement, to stop symptoms such as tremors
40
what do dopamine agonists bind to
MAOIs and COMT inhibitors
41
what do anticholinergic drugs bind to
muscarinic cholinergic receptors in the CNS
42
what is the most effective treatment for parkinsons
dopamine agonists
43
dementia
neurodegenerative disorder - progressive memory loss, confusion, inability to think or communicate effectively
44
neurodegenerative disorder - progressive memory loss, confusion, inability to think or communicate effectively
dementia
45
alzheimers
progressive neurodegenerative disorder affecting individuals >65
46
impaired memory, confusion, inability to recognize family and friends, aggressive behaviour, depression, psychosis, anziety
symptoms of alzhimers
47
acetylcholinesterase inhibitors
improve daily activities, behaviour and cognition since they work to increase the acetylcholine which plays a big role in alzheimers